Here’s what you need to know to protect your healthcare entity’s revenue stream. We all know that the heart is one of the most important organs of the body. The heart is responsible for multiple life-giving processes such as enabling the transportation of nutrients, hormones, oxygen, and waste products throughout the body. When your heart ...
Aug 2nd, 2021
Ensure compliance and maximum reimbursement by encouraging collaboration between coding and AR departments. Revenue cycle management includes understanding and improving the life cycle of a claim to achieve maximum efficiency and obtain quick clean payments. Coders may not always be fully engaged in the revenue cycle process, but they absolutely are fundamental in the process. ...
In Billing
Jul 12th, 2021
Interim final rule lays groundwork for implementing No Surprises Act by 2022. On July 1 the U.S. Department of Health and Human Services (HHS), Labor, and Treasury, and the Office of Personnel Management issued Requirements Related to Surprise Billing; Part I, an interim final rule (IFR) that is a first step toward implementing the No ...
In Audit
Jul 7th, 2021
Nothing stays the same, including the way the feds interpret the law. The False Claims Act (FCA) has become the government’s fraud enforcement vehicle of choice, and the changes to the FCA under the Fraud Enforcement Recovery Act of 2009 (FERA) and the Affordable Care Act (ACA) have enhanced the Department of Justice’s (DOJ’s) enforcement ...
In CMS
Mar 1st, 2021
Understand the importance of listing hospital charges publicly...